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Parkinsonism: Overview of Symptoms and Treatment

Discover key information about Parkinsonism, including its symptoms, causes, effects on daily life, and treatment options to help manage movement difficulties and improve quality of life.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. Dhankecha Mayank Dineshbhai MBBS

Last updated on 28th Aug, 2025

parkinsonism

Introduction

Living with movement difficulties can be challenging, but understanding the condition and knowing how to manage it can make a big difference. Parkinsonism is a term used to describe a group of neurological disorders that share symptoms similar to Parkinson’s disease, such as tremors, stiffness, and slow movement. While Parkinson’s disease is the most common cause, other conditions can also lead to Parkinsonism.

This article will help you understand what Parkinsonism is, common symptoms to watch for, possible causes, how it affects daily life and treatment and lifestyle tips.

Let’s explore this condition in simple terms so you or your loved ones can take the right steps toward better health.

What is Parkinsonism?

Parkinsonism refers to a set of symptoms caused by reduced levels of dopamine, a chemical in the brain that helps control movement. These symptoms include tremors, muscle stiffness, slow movement, and balance problems.

Key Differences Between Parkinsonism and Parkinson’s Disease:

  • Parkinson’s Disease (PD): A progressive brain disorder where dopamine-producing cells gradually die.
  • Parkinsonism: A broader term that includes PD as well as other conditions (like drug-induced or vascular Parkinsonism) with similar symptoms.

Consult a Neurologist for the best advice

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Dr. Aditendraditya Singh Bhati, Neurosurgeon

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Delhi

Apollo Hospitals Indraprastha, Delhi

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Common Symptoms of Parkinsonism

The symptoms vary from person to person but often include:

1. Motor (Movement-Related) Symptoms

  • Tremors (Shaking): Usually starts in the hands, often at rest.
  • Bradykinesia (Slowed Movement): Walking, talking, or performing daily tasks becomes slower.
  • Muscle Stiffness: Limbs feel rigid, making movement difficult.
  • Balance & Posture Issues: Increased risk of falls due to poor balance.
  • Shuffling Walk: Small, quick steps while walking.

2. Non-Motor Symptoms

  • Speech Changes: Soft, slurred, or monotone speech.
  • Sleep Problems: Insomnia or excessive daytime sleepiness.
  • Mood Disorders: Depression or anxiety.
  • Cognitive Changes: Memory issues or slowed thinking (in later stages).

If you or a loved one experience these symptoms, consulting a neurologist is important for proper diagnosis.

What Causes Parkinsonism?

Several conditions can lead to Parkinsonism, including:

1. Parkinson’s Disease (Most Common Cause)

  • Gradual loss of dopamine-producing brain cells.

2. Drug-Induced Parkinsonism

  • Certain medications (e.g., antipsychotics, anti-nausea drugs) can temporarily cause symptoms.

3. Vascular Parkinsonism

  • Caused by multiple small strokes affecting brain areas controlling movement.

4. Atypical Parkinsonism (Less Common but More Severe)

  • Progressive Supranuclear Palsy (PSP) – Affects eye movement and balance.
  • Multiple System Atrophy (MSA) – Impacts blood pressure and bladder control.
  • Lewy Body Dementia (LBD) – Causes memory loss along with movement problems.

How Parkinsonism Affects Daily Life

Living with Parkinsonism can impact:

  • Mobility: Difficulty walking or performing fine motor tasks (buttoning shirts, writing).
  • Speech & Swallowing: Soft voice or trouble swallowing food.
  • Mental Health: Depression and anxiety due to physical limitations.
  • Sleep: Restlessness or frequent waking at night.

However, with proper treatment and lifestyle changes, many people continue to lead fulfilling lives.

Treatment and Management of Parkinsonism

While there’s no cure for most forms of Parkinsonism, treatments can relieve symptoms and improve quality of life.

1. Medications

  • Levodopa (Main Treatment): Replaces dopamine in the brain.
  • Dopamine Agonists: Mimic dopamine effects (e.g., Pramipexole, Ropinirole).
  • MAO-B Inhibitors: Help preserve dopamine (e.g., Selegiline).
  • Anticholinergics: Reduce tremors (used in some cases).

Note: Drug-induced Parkinsonism often improves after stopping the medication.

2. Physical & Occupational Therapy

  • Exercise (Yoga, Tai Chi, Walking): Helps improve balance and flexibility.
  • Speech Therapy: Strengthens voice and swallowing muscles.

3. Lifestyle Changes

  • Balanced Diet: High in fibre (to prevent constipation) and antioxidants (berries, nuts).
  • Hydration: Helps with muscle function and digestion.
  • Mental Stimulation: Puzzles, reading, or social activities to support brain health.

4. Surgical Options (For Advanced Cases)

  • Deep Brain Stimulation (DBS): A pacemaker-like device helps control movement.

When to See a Doctor?

If you notice:

  • Persistent tremors or stiffness
  • Slowed movements
  • Frequent falls or balance issues
  • Changes in speech or handwriting

Early diagnosis helps in better management. You can consult a neurologist through Apollo 24|7 for expert advice.

Final Thoughts

Parkinsonism can be challenging, but with the right treatment and support, many people manage their symptoms effectively. Staying active, eating well, and following medical advice can make a big difference.

Consult a Neurologist for the best advice

Dr. Avinash Gupta, Neurologist

Dr. Avinash Gupta

Neurologist

12 Years • MBBS, DNB - Neurology

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

82%

(125+ Patients)

800

80 Cashback

800

No Booking Fees

Dr. Aditendraditya Singh Bhati, Neurosurgeon

Dr. Aditendraditya Singh Bhati

Neurosurgeon

18 Years • MBBS(2004), DNB Neurosurgery(2014); MNAMS; Fellow Neuroendoscopy

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

85%

(100+ Patients)

1000

150 Cashback

1500

No Booking Fees

Dr. Amit Kapoor, Neurosurgeon

Dr. Amit Kapoor

Neurosurgeon

18 Years • D.N.B NeuroSurg.

Delhi

Apollo Hospitals Indraprastha, Delhi

1500

150 Cashback

Consult a Neurologist for the best advice

Dr. Meghna Pawar, Neurologist

Dr. Meghna Pawar

Neurologist

8 Years • MBBS, MD, DrNB NEUROLOGY

Bhopal

Apollo Sage Hospitals, Bhopal

800

No Booking Fees

Dr. Avinash Gupta, Neurologist

Dr. Avinash Gupta

Neurologist

12 Years • MBBS, DNB - Neurology

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

82%

(125+ Patients)

800

80 Cashback

800

No Booking Fees

Dr. Aditendraditya Singh Bhati, Neurosurgeon

Dr. Aditendraditya Singh Bhati

Neurosurgeon

18 Years • MBBS(2004), DNB Neurosurgery(2014); MNAMS; Fellow Neuroendoscopy

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

85%

(100+ Patients)

1000

150 Cashback

1500

No Booking Fees

Dr.srinivasan Mariappan, Neurologist

Dr.srinivasan Mariappan

Neurologist

20 Years • MBBS, MD, DM (Neuro)

Chennai

Apollo Clinic, Velachery, Chennai

1000

No Booking Fees

Dr. Amit Kapoor, Neurosurgeon

Dr. Amit Kapoor

Neurosurgeon

18 Years • D.N.B NeuroSurg.

Delhi

Apollo Hospitals Indraprastha, Delhi

1500

150 Cashback

Consult a Neurologist for the best advice

Dr. Meghna Pawar, Neurologist

Dr. Meghna Pawar

Neurologist

8 Years • MBBS, MD, DrNB NEUROLOGY

Bhopal

Apollo Sage Hospitals, Bhopal

800

No Booking Fees

Dr. Avinash Gupta, Neurologist

Dr. Avinash Gupta

Neurologist

12 Years • MBBS, DNB - Neurology

Bilaspur

Apollo Hospitals Seepat Road, Bilaspur

recommendation

82%

(125+ Patients)

800

80 Cashback

800

No Booking Fees

Dr. Aditendraditya Singh Bhati, Neurosurgeon

Dr. Aditendraditya Singh Bhati

Neurosurgeon

18 Years • MBBS(2004), DNB Neurosurgery(2014); MNAMS; Fellow Neuroendoscopy

Delhi

Apollo Hospitals Indraprastha, Delhi

recommendation

85%

(100+ Patients)

1000

150 Cashback

1500

No Booking Fees

Dr.srinivasan Mariappan, Neurologist

Dr.srinivasan Mariappan

Neurologist

20 Years • MBBS, MD, DM (Neuro)

Chennai

Apollo Clinic, Velachery, Chennai

1000

No Booking Fees

Dr. Amit Kapoor, Neurosurgeon

Dr. Amit Kapoor

Neurosurgeon

18 Years • D.N.B NeuroSurg.

Delhi

Apollo Hospitals Indraprastha, Delhi

1500

150 Cashback

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